Nokea
A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?
- A. Phobia
- B. Posttraumatic stress disorder
- C. Obsessive-compulsive disorder
- D. Disordered thinking
Correct Answer: B
Rationale: Posttraumatic stress disorder describes a response to an intense traumatic experience that is beyond the usual range of human experience.
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When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care?
- A. Personalized
- B. Individualized
- C. Holistic
- D. Organic
Correct Answer: C
Rationale: Using all five axes of the DSM-V provides a holistic assessment.
A young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this?
- A. Delirium
- B. Psychotic break
- C. Possible stroke
- D. Anxiety disorder
Correct Answer: A
Rationale: Delirium is an organic mental disorder that is frequently brought on by a severe physical illness, such as fever.
The nurse is told that a patient believes he was born into the wrong body. What is the correct terminology for the desire to have the body of the opposite sex?
- A. Homosexuality
- B. Transsexualism
- C. Heterosexuality
- D. Bisexuality
Correct Answer: B
Rationale: Transsexualism is a persistent desire to be the opposite sex and to have the body of the opposite sex.
A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him. The nurse records these observations as which type of behavior?
- A. Absent behavior
- B. Positive behavior
- C. Negative behavior
- D. False behavior
Correct Answer: B
Rationale: The behaviors of schizophrenic individuals can be categorized as positive (or excessive) or negative (or absent). Examples of positive behaviors include hallucinations, delusions, and disordered thinking. Examples of negative behaviors include apathy, social withdrawal, and flat affect.
What is the term used for the beginning stage of schizophrenia, characterized by a lack of energy and complaints of multiple physical problems?
- A. Prepsychotic
- B. Residual
- C. Acute
- D. Prodromal
Correct Answer: D
Rationale: The prodromal phase is the beginning stage of schizophrenia. Hallucinations and delusions sometimes occur in the prepsychotic stage. In the acute phase, individuals often lose touch with reality. The residual phase follows the acute phase and the symptoms of that phase are similar to those of the prodromal stage.